MEDICARE: O & J MEDICAL EQUIPMENT,INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BX2000X	Oxygen Equipment & Supplies (DME)

General Provider Information

NPI Number	:	1043381601
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	O & J MEDICAL EQUIPMENT,INC

Provider Business Mailing Address
First Line	:	4606 SW 75TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-4433
Country	:	US
Telephone Number	:	305-262-8854
Fax Number	:	305-262-8809

Provider Business Practice Location Address
First Line	:	4606 SW 75TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-4433
Country	:	US
Telephone Number	:	305-262-8854
Fax Number	:	305-262-8809

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ORLEDO PERDOMO
Credential	:
Telephone Number	:	305-262-8854

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	05/12/2008

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